- Cardinal Health (Columbus, OH)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- Intermountain Health (Columbus, OH)
- …rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides ... feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...contracts are aligned with original intent of health system contracting efforts. + Work with Compliance, Finance and Government… more
- Highmark Health (Columbus, OH)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Organon & Co. (Columbus, OH)
- …with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems ... and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience....MBA preferred. + Previous large/strategic account management role. + Contracting experience. + Health care trends and… more
- The Cigna Group (Cleveland, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Humana (Columbus, OH)
- …**Required Qualifications** + 2 or more years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider ... our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other… more
- Molina Healthcare (Cincinnati, OH)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Cardinal Health (Columbus, OH)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.… more
- Molina Healthcare (OH)
- …multi-state licensure. 5 years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… more
- Molina Healthcare (Cincinnati, OH)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more